This topic is about someone who recently had an ileostomy reversal and is experiencing some concerns and symptoms during their recovery. They are dealing with blood in their stool, pain at the site of their former stoma, and constipation. Here are some insights and advice that might be helpful:

- After an ileostomy reversal, it's common to experience some initial bowel changes. The person noticed watery, urgent stools with some blood, which then changed to slower, almost constipated movements that also contained blood. The surgeon mentioned that small amounts of blood can be normal in the early phase, but it's understandable to feel anxious, especially if there is a history of rectal bleeding due to a cancerous polyp.

- There is a concern about a pinching or tight feeling at the site of the former stoma, especially after stretching. This could be worrying, but without a visible bulge, it is less likely to be a hernia. It's always a good idea to discuss any concerns with the surgeon for peace of mind.

- The person is feeling isolated and fearful, seeking others who might have had similar experiences. It's important to know that these feelings are normal, and reaching out to others can be comforting.

- Blood continues with each bowel movement, and there is a question about whether the rectum is "re-stretching." The surgeon, who recently removed staples, is not concerned, but the person is worried about the pressure from constipation potentially causing issues with the rectal resection.

- The surgeon advised against using laxatives for now, even though there hasn't been a bowel movement for almost a week, although gas is passing. This is because leaks are still possible for about five weeks post-operation.

- The person noticed that contrast dye from a pre-op study is still passing through their bowel, and the tightness at the old stoma site seems to lessen as food and gas move through.

Here are some helpful tips and advice:

1. Early bleeding, tightness, and pulling around the former stoma site are common in the first weeks after reversal. While it's unlikely to be a hernia, it's important to report any concerns to the surgeon.

2. Staying hydrated is crucial. Drinking electrolyte fluids like Gatorade can help with recovery and improve stool consistency.

3. Avoid lifting heavy objects during the early healing phase to prevent hernia formation.

4. For scar management, gently massaging the scar with over-the-counter scar cream can help reduce tightness. Flexibility will gradually return, and some people regain the ability to perform yoga stretches within weeks.

5. For perianal skin care, using Calmoseptine ointment can soothe soreness from frequent or loose stools.

6. If the surgeon permits, try warm beverages like hot cocoa to stimulate bowel activity. Heat therapy, such as a heating pad or hot bath, may also relax abdominal muscles and encourage movement.

7. Expect stool patterns to fluctuate, with firm stools one day and loose ones the next. Full adjustment can take 3-6 months or even up to a year.

8. Emotional support is important. Celebrate small victories, be kind to yourself, and keep the community updated, as sharing experiences can benefit others.